Communities of Dialogue Russian and Ukrainian Émigrés in Modernist Prague

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Why bioethics needs the philosophy of medicine

some implications of reflection on concepts of health and disease

George Khushf

pp. 145-163

Abstract

Germund Hesslow has argued that concepts of health and disease serve no important scientific, clinical, or ethical function. However, this conclusion depends upon the particular concept of disease he espouses; namely, on Boorse's functional notion. The fact/value split embodied in the functional notion of disease leads to a sharp split between the 'science" of medicine and bioethics, making the philosophy of medicine irrelevant for both. By placing this disease concept in the broader context of medical history, I shall show that it does capture an essential part of modern medical ideology. However, it is also a self-contradictory notion. By making explicit the value desiderate of medical nosologies, a reconfiguration of the relation between medicine, bioethics, and the philosophy of medicine is initiated. This, in turn, will involve a recovery of the caring dimensions of medicine, and thus a more humane practice.

Publication details

Published in:

Thomasma David C. (1997) The influence of Edmund d. Pellegrino's philosophy of medicine. Dordrecht, Springer.

Pages: 145-163

DOI: 10.1007/978-94-017-3364-9_11

Full citation:

Khushf George (1997) „Why bioethics needs the philosophy of medicine: some implications of reflection on concepts of health and disease“, In: D. C. Thomasma (ed.), The influence of Edmund d. Pellegrino's philosophy of medicine, Dordrecht, Springer, 145–163.